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<title>编辑用药人</title>
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<meta name="description" content="">
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<body>
<div class="top">
   <a class="btn_back" href="#"></a>
   <a class="btn_del" href="#">删除</a>
   <div class="name">
    编辑用药人
   </div>
</div>

<div class="main">
 <div class="main_c">

  <div class="set_list">
    <ul>
      <li>
         <span class="t_name">用药人姓名</span>
         <span class="txt"><span class="i_w"><input class="input" name="" type="text" value="赵鑫语"></span></span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">身份证号</span>
         <span class="txt"><span class="i_w"><input class="input" name="" type="text" value="130184201204083024"></span></span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">出生日期</span>
         <span class="txt"><span class="i_w"><input class="input" name="" type="text" value="2012-04"></span></span>
         <i></i>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">体重</span>
         <span class="txt"><span class="i_w"><input class="input_2" name="" type="text" value="20"></span></span>
         <span class="dw">kg</span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">性别</span>
         <span class="sex_box"><label><input name="sex" type="radio" value=""> <span>男</span></label><label><input name="sex" type="radio" value=""> <span>女</span></label></span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">手机号码</span>
         <span class="txt"><span class="i_w"><input class="input_2" name="" type="text" value="131 6554 5119"></span></span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name">疾病史</span>
         <span class="txt"><span class="i_w"><input class="input" name="" type="text" value="无肝肾异常、过敏史、妊娠"></span></span>
         <i></i>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name_2">曾服用过本次开具药品</span>
         <span class="sex_box"><label><input name="yong" type="radio" value=""> <span>是</span></label><label><input name="yong" type="radio" value=""> <span>无</span></label></span>
         <span class="clear"></span>
      </li>
      <li>
         <span class="t_name_2">有无不良反应</span>
         <span class="sex_box"><label><input name="fanying" type="radio" value=""> <span>是</span></label><label><input name="fanying" type="radio" value=""> <span>无</span></label></span>
         <span class="clear"></span>
      </li>
    <div class="clear"></div>
    </ul>
  </div>
  
  </div>
</div>

<div class="bottom_w">
  <div class="txt">技术支持</div>
  <div class="bottom">
     <a class="btn" href="#">保存并使用</a>  </div>
</div>
</body>
</html>